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Updated: Nov 7, 2025

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
Translesion Synthesis or Repair by Specialized DNA Polymerases Limits Excessive Genomic Instability upon Replication
Domenico Maiorano1, Jana El Etri1, Camille Franchet2
1Institute of Human Genetics, UMR9002, CNRS-University of Montpellier, 34396 Montpellier, France.
Abstract:
DNA can experience "replication stress", an important source of genome instability, induced by various external or endogenous impediments that slow down or stall DNA synthesis. While genome instability is largely documented to favor both tumor formation and heterogeneity, as well as drug resistance, conversely, excessive instability appears to suppress tumorigenesis and is associated with improved prognosis. These findings support the view that karyotypic diversity, necessary to adapt to selective pressures, may be limited in tumors so as to reduce the risk of excessive instability. This review aims to highlight the contribution of specialized DNA polymerases in limiting extreme genetic instability by allowing DNA replication to occur even in the presence of DNA damage, to either avoid broken forks or favor their repair after collapse. These mechanisms and their key regulators Rad18 and Polθ not only offer diversity and evolutionary advantage by increasing mutagenic events, but also provide cancer cells with a way to escape anti-cancer therapies that target replication forks.
Insights
DNA replication stress causes genome instability, which can promote cancer but excessive instability suppresses it. Specialized DNA polymerases help limit this extreme instability, aiding cancer cell survival and therapy evasion.
Area of Science:
- Molecular Biology
- Genetics
- Cancer Research
Background:
- Replication stress, arising from DNA synthesis impediments, is a key driver of genome instability.
- Genome instability generally promotes tumor formation, heterogeneity, and drug resistance.
- However, excessive instability can suppress tumorigenesis and improve prognosis, suggesting a complex role.
Purpose of the Study:
- To review the role of specialized DNA polymerases in mitigating extreme genetic instability.
- To explore how these polymerases facilitate DNA replication despite DNA damage.
- To highlight their contribution to cancer cell adaptation and therapeutic resistance.
Main Methods:
- Review of existing literature on DNA replication, genome instability, and specialized DNA polymerases.
- Analysis of the regulatory roles of Rad18 and Polθ in DNA repair and replication.
- Discussion of the implications for cancer development and treatment.
Main Results:
- Specialized DNA polymerases allow replication to proceed over DNA damage, preventing fork collapse.
- These polymerases, regulated by Rad18 and Polθ, contribute to genetic diversity through mutagenic events.
- This mechanism provides cancer cells with a means to survive and resist therapies targeting replication.
Conclusions:
- Specialized DNA polymerases are crucial in balancing genome stability and instability.
- They play a dual role: limiting excessive instability while enabling adaptive mutations.
- These polymerases represent potential targets for overcoming cancer drug resistance.
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